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Individual

NICK JUN BUTALID MARQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 75TH ST SW STE 210, EVERETT, WA 98203-6293
(425) 261-4780
Mailing address
10510 7TH AVE SE, EVERETT, WA 98208-4009
(425) 791-1853

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61508135
WA

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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